Jump to content
×
Are you looking for the BariatricPal Store? Go now!

2 year lag in compliance, dieting again...portions?



Recommended Posts

Hello there. I am trying to jump back on the wagon after about 2 years of non compliance with my Surgeons mandatory South Beach Diet. Or any diet.

Having eaten as a non dieter for so long, what portions should I start with? I mean, other than common sense. I'm morbidly obese, 300#'s, 5'4". Is it advisable to try to go back on post surgery portions? I would think doing that would be inadvisable given that I spent 2 years eating at whim. But I really don't know. I've read that that would be too taxing on the system and not doable for long term. Again, I don't know.

I'm doing this on my own because I have yet to repair some "tensions", in nice words, with my Surgeon and his staff. He had some awful things to say about my mental health issues, PTSD among them, as they related to compliance, and I couldn't/can't get past that. I'm working on it very hard in therapy as I'd like to eventually go back and continue with professional care.

Share this post


Link to post
Share on other sites

Maybe doing a pouch reset? I've only seen mention of it and don't know the exact steps for it. Then when you finish that start some kind of structured diet plan. Planning to me is the key to eating what I'm supposed to eat and not whatever I find in the pantry at the last minute. Good luck!

Share this post


Link to post
Share on other sites

It seems like you'd be able to go back to post-op diet plan to reset your pouch. Make sure you're getting 60 oz of Protein each day, Water intake of at least 64 oz each day, calories under 1000.

Share this post


Link to post
Share on other sites

I don't know that you'd have to go completely back to the beginning (i.e., liquid diet, pureed diet, etc), but go back to eating Protein first, then non-starchy veggies, and then, if you have room, a small serving of fruit or whole grain carbs.

I'm thinking it might be too drastic to suddenly drop your calories to sub-1000, which would set some people up for a binge. Maybe try to figure out what your current calorie intake level is, and then lower it gradually (by maybe 100-200 calories per day) every week or two until you get to the level where your weight starts to drop off again.

Share this post


Link to post
Share on other sites

10 hours ago, Heidihoo said:

Hello there. I am trying to jump back on the wagon after about 2 years of non compliance with my Surgeons mandatory South Beach Diet. Or any diet.

Having eaten as a non dieter for so long, what portions should I start with? I mean, other than common sense. I'm morbidly obese, 300#'s, 5'4". Is it advisable to try to go back on post surgery portions? I would think doing that would be inadvisable given that I spent 2 years eating at whim. But I really don't know. I've read that that would be too taxing on the system and not doable for long term. Again, I don't know.

I'm doing this on my own because I have yet to repair some "tensions", in nice words, with my Surgeon and his staff. He had some awful things to say about my mental health issues, PTSD among them, as they related to compliance, and I couldn't/can't get past that. I'm working on it very hard in therapy as I'd like to eventually go back and continue with professional care.

Perhaps try

structured eating first (set meal times)

then find a diet style you like (wholefoods, vegan, Mediterranean, Keto, etc)

then one by one substitute out low quality foods for higher ones (milk chocolate for dark, reg. icecream for halotop, rice for riced cauliflower, sugar for a zero cal sub, etc) until you can fully convert back to where the practice wants you to be.

Good luck 💜

Share this post


Link to post
Share on other sites

@Heidihoo how is it going? I find just getting back to mindful behaviors - no eating anywhere but the kitchen table, no random snacking, etc is a good starting point. I am glad you are in therapy.

You might check out Peter Michaelson https://whywesuffer.com/exposing-the-roots-of-emotional-suffering/

It might help in between sessions. He has some great insights into how to overcome our 'stuck selves', it's very intense. Good luck.

Share this post


Link to post
Share on other sites

Wow, I'm excited to read ALL of it! That's my kinda stuff! Thank you soooo much Sosewsue61! Much love 💙💜💙💜💙💜

7 hours ago, Sosewsue61 said:

@Heidihoo how is it going? I find just getting back to mindful behaviors - no eating anywhere but the kitchen table, no random snacking, etc is a good starting point. I am glad you are in therapy.

You might check out Peter Michaelson https://whywesuffer.com/exposing-the-roots-of-emotional-suffering/

It might help in between sessions. He has some great insights into how to overcome our 'stuck selves', it's very intense. Good luck.

Share this post


Link to post
Share on other sites

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • Vicki Lindsey

      Ok I had surgery on Jan 27 2020 so I am 3 weeks out and have lost 32 lbs  I wish I had this done sooner. Now just trying to figure out different things to eat so I am not eating the same thing over and over. I did order some stuff today from the Bariatric Store and that stuff should be here in time for my next phase. I have a goal of 50 lbs by the first of June hope that is attainable. Good luck to every one on this journey 
      · 1 reply
      1. MAUREEN2U

        That wonderful. That's a lot of weight for such a short time.Hooray.

    • GinaFigz

      · 0 replies
      1. This update has no replies.
    • Arabesque

      So went to my surgeon today for one month follow-up. Last time I was there he wanted me to put on 4kgs but oops I’ve lost another 2kgs. Told him it was intended, was trying to maintain, upped my food intake, was stable for almost 3 weeks but last weekend broke it.
      Mum turned 80. Drinks at neighbours, a couple of crackers & dip, home late, no dinner. Out all morning, followed by celebratory family lunch, home late, no dinner. Whole dietary routine out the window. Did have a protein bar & tuna frittata muffin in between but didn’t eat much at all those two days.
      What dumbfounded me was he was ok with it. I told him I didn’t want to put on his 4kg because of the weight gain many experience in the 12+months in maintenance. He agreed with me. What the??? Invasion of the body snatchers??? Totally opposite position from last month. 
      He was also ok with my stopping my multivitamins. Agreed with my thinking that is better to feel ok & eat then be nauseated & not eat. He’ll just monitor my bloods to ensure no problems which is what they do anyway.
      Not complaining. 
      · 0 replies
      1. This update has no replies.
    • 50Startingover

      How do you fill out the last profile part, the part that says your weight, height.. etc
      · 3 replies
      1. My1smthop

        I'm trying to figure this out as well.

      2. Too many dogs

        Go to profile look for patient in drop down -

        menu

      3. Too many dogs

        Under patients my surgery is it

    • MsMocie

      Just came from my GPs office. He would want me upping to 1500kcals a day. Have no idea on how I'm gonna do this - a year ago it would been an issue to come _down_ to 1500 kcals 😂
      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Together, we have lost...
      lbs
    ×